Are you talking about Certificates of Need? Those have been around for a lot longer than the ACA [0] [0] https://en.wikipedia.org/wiki/Certificate_of_need#Hist

Are you talking about Certificates of Need? Those have been around for a lot longer than the ACA [0] [0] https://en.wikipedia.org/wiki/Certificate_of_need#History https://en.wikipedia.org/wiki/Certificate_of_need#History